Kang Erin, Gioia Ayla, Pugliese Cara E, Islam Nadia Y, Martinez-Pedraza Frances de L, Girard Rebecca M, McLeod Bryce D, Carter Alice S, Lerner Matthew D
Stony Brook University; Montclair State University.
Stony Brook University.
Behav Ther. 2021 Mar;52(2):324-337. doi: 10.1016/j.beth.2020.04.006. Epub 2020 Apr 15.
Although the alliance is a consistent predictor of treatment outcomes in psychosocial interventions, few studies have examined this association among youth with autism spectrum disorder (ASD). In particular, youth-therapist alliance has never been examined in social skills interventions (SSIs), a common modality for this population. In this study, thirty-four youth with ASD (M = 12.41; 79% male) participated in a community-delivered, group-based SSI in a summer camp format led by eight Head Therapists (M = 32.12; 50% male). Early alliance and change in alliance over the course of the treatment were assessed via self- and observer-reported measures. Both self- and observer-rated alliance were associated with positive treatment outcomes as reported by parents (decreased problem behaviors) and other peers in the group (reciprocated friendship and social preference). These results provide the first evidence of the role of the alliance in an SSI for youth with ASD and add to the growing body of literature that demonstrates the importance of assessing and addressing the alliance in treatment for this population.
尽管在心理社会干预中，治疗联盟一直是治疗效果的一个可靠预测指标，但很少有研究考察自闭症谱系障碍（ASD）青少年群体中的这种关联。特别是，青少年与治疗师之间的联盟从未在社交技能干预（SSI）中得到考察，而社交技能干预是针对该群体的一种常见治疗方式。在本研究中，34名患有ASD的青少年（平均年龄M = 12.41岁；79%为男性）参加了一个由八名首席治疗师（平均年龄M = 32.12岁；50%为男性）带领的、以夏令营形式在社区开展的团体社交技能干预。通过自我报告和观察者报告的方式评估了治疗初期的联盟情况以及治疗过程中联盟的变化。自我报告和观察者评定的联盟都与父母报告的积极治疗结果（问题行为减少）以及小组中其他同伴报告的结果（相互的友谊和社交偏好）相关。这些结果首次证明了联盟在针对ASD青少年的社交技能干预中的作用，并为越来越多的文献增添了内容，这些文献表明在针对该群体的治疗中评估和处理联盟的重要性。
